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CQC report explained · a nursing home

What the CQC found at Neu Living

Requires improvementpublished 20 January 2025, 20 months ago

Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.

The latest report, explained

What inspectors found, July 2024

Overall rating Inadequate and in special measures; inspectors found unsafe medicines, serious premises risks and major weaknesses in management.

This was an unannounced inspection carried out on 9, 11 and 13 January 2024. Inspectors spoke with people living in the home, staff, managers and a visiting professional. They observed care, checked the building and reviewed care records, staff files, medicines information and management records.

Inspectors found serious problems with medicines, fire safety and the condition of the building. Some risks had been identified but not dealt with. People did not always have the right capacity assessments or best-interest decisions. Staff training and competency checks were also not up to date.

Care was sometimes kind, and there were enough staff to meet people's needs. However, care plans were not personal enough, activities were limited, and people were not consistently involved in decisions about their care. The home was rated Inadequate overall, with Safe, Effective and Well-led also rated Inadequate. Caring and Responsive were rated Requires Improvement.

What inspectors praised
  • Enough staff

    Inspectors found there were enough staff to meet people's needs. The home used familiar bank staff to cover sickness or absence.

    “The provider ensured there were sufficient numbers of staff.” from the report
  • Infection control

    Staff followed infection prevention procedures and had access to personal protective equipment. People and relatives did not raise concerns about cleanliness or hygiene.

    “People were protected from the risk of infection as staff were following safe infection prevention and control practices.” from the report
  • Positive interactions

    Inspectors observed consistent positive interactions between staff and people. Staff were seen speaking respectfully and using good humour.

    “We carried out a SOFI that highlighted consistent positive interactions between staff and residents.” from the report
  • Health referrals

    Staff made referrals to health professionals when people's needs changed, including to GPs and community mental health teams.

    “The provider ensured the service worked effectively within and across organisations to deliver effective care, support and treatment.” from the report
What inspectors were concerned about
  • Unsafe medicines

    serious

    Some medicines were out of stock, given in ways that did not follow instructions, or not recorded properly. One person missed a prescribed nutritional supplement for a week and another missed eardrops for several days.

    “People were not supported to receive their medicines in a safe way.” from the report
  • Fire and building risks

    serious

    Inspectors found unresolved building defects, including water coming through electrics, damaged fire doors and emergency lighting needing work. Evacuation plans did not contain enough detail or reflect fire service advice.

    “There were environmental safety concerns in the building which placed people at risk of harm.” from the report
  • Consent and legal safeguards

    serious

    Capacity assessments and best-interest decisions were missing or lacked detail. DoLS records were not always accurate, and applications were delayed.

    “The provider did not work in line with the Mental Capacity Act.” from the report
  • Staff skills and training

    serious

    There were major gaps in mandatory training and no reliable evidence of current competencies for tracheostomy, PEG, catheter care and some other tasks. Many staff had not received the supervision required by the home's policy.

    “There were significant gaps in training compliance across the staff team.” from the report
  • Personalised care

    serious

    Care plans lacked detail about people's preferences, goals and support needs. One person was not always given the one-to-one support set out in their care plan.

    “We found that care plans lacked detail and were not person-centred.” from the report
  • Weak oversight

    serious

    Audits and monitoring did not reliably identify risks or lead to improvement. Managers lacked oversight of training, safeguarding, accidents and incidents, and the home had not fully acted on earlier feedback.

    “Systems for identifying, capturing, and managing organisational risks were ineffective.” from the report
Questions to ask them, based on this report
  1. 01What has been done to ensure all medicines are in stock, given according to instructions and recorded correctly?
  2. 02What repairs have been completed for the leaking ceiling, damaged fire doors and emergency lighting, and how are people now kept safe in a fire?
  3. 03Have every person's capacity assessments, best-interest decisions and DoLS records been reviewed and corrected?
  4. 04Which staff are currently trained and assessed as competent to support tracheostomy, PEG, catheter care and medicines?
  5. 05How will people and their families be involved in care plans, communication support and meaningful activities?

This was an unannounced inspection that looked at all five key questions, the care provided and the premises; the previous overall rating was Good, published on 10 July 2021. This explanation was written from the published report of 3 July 2024 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Neu Living

2 rated inspections over 3 years: the service has slipped, from Good to Inadequate.

  1. July 2024Inadequatecurrent ratingdown from Good
    Safe: InadequateEffective: InadequateCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate

    Read what inspectors found at Neu Living →

  2. July 2021Good
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
  3. July 2022

    Registered with the Care Quality Commission on 1 July 2022.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

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